EP2863229A1 - pH-biosensors based on compounds with pH-sensitive enolic groups for magnetic resonance imaging and spectroscopy and their uses - Google Patents
pH-biosensors based on compounds with pH-sensitive enolic groups for magnetic resonance imaging and spectroscopy and their uses Download PDFInfo
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- EP2863229A1 EP2863229A1 EP20130188679 EP13188679A EP2863229A1 EP 2863229 A1 EP2863229 A1 EP 2863229A1 EP 20130188679 EP20130188679 EP 20130188679 EP 13188679 A EP13188679 A EP 13188679A EP 2863229 A1 EP2863229 A1 EP 2863229A1
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Classifications
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/84—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving inorganic compounds or pH
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K49/00—Preparations for testing in vivo
- A61K49/06—Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations
- A61K49/08—Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by the carrier
- A61K49/10—Organic compounds
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N24/00—Investigating or analyzing materials by the use of nuclear magnetic resonance, electron paramagnetic resonance or other spin effects
- G01N24/08—Investigating or analyzing materials by the use of nuclear magnetic resonance, electron paramagnetic resonance or other spin effects by using nuclear magnetic resonance
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01R—MEASURING ELECTRIC VARIABLES; MEASURING MAGNETIC VARIABLES
- G01R33/00—Arrangements or instruments for measuring magnetic variables
- G01R33/20—Arrangements or instruments for measuring magnetic variables involving magnetic resonance
- G01R33/44—Arrangements or instruments for measuring magnetic variables involving magnetic resonance using nuclear magnetic resonance [NMR]
- G01R33/48—NMR imaging systems
- G01R33/4804—Spatially selective measurement of temperature or pH
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01R—MEASURING ELECTRIC VARIABLES; MEASURING MAGNETIC VARIABLES
- G01R33/00—Arrangements or instruments for measuring magnetic variables
- G01R33/20—Arrangements or instruments for measuring magnetic variables involving magnetic resonance
- G01R33/44—Arrangements or instruments for measuring magnetic variables involving magnetic resonance using nuclear magnetic resonance [NMR]
- G01R33/48—NMR imaging systems
- G01R33/54—Signal processing systems, e.g. using pulse sequences ; Generation or control of pulse sequences; Operator console
- G01R33/56—Image enhancement or correction, e.g. subtraction or averaging techniques, e.g. improvement of signal-to-noise ratio and resolution
- G01R33/5601—Image enhancement or correction, e.g. subtraction or averaging techniques, e.g. improvement of signal-to-noise ratio and resolution involving use of a contrast agent for contrast manipulation, e.g. a paramagnetic, super-paramagnetic, ferromagnetic or hyperpolarised contrast agent
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/055—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
Definitions
- the present invention relates to the use of compounds with at least one pH-sensitive chemical shift for determining pH and/or measuring pH changes in magnetic resonance. More specifically, the present invention is related to compounds with at least one pH-sensitive chemical shift, such compound being selected from pyruvic acid and its metabolites, compounds produced from pyruvic acid after interaction with acid, and compounds comprising at least one enolic group whose pK a value is lowered through effects of at least one neighboring group into a physiological and/or pathological pH-range, and wherein the compound exhibits at least one pH-sensitive chemical shift in an NMR spectrum.
- the present invention further relates to biosensors comprising at least one of the compounds.
- the present invention is furthermore related to in vitro and in vivo methods for determining pH and/or measuring pH changes using the compounds or biosensors.
- the present invention also relates to methods of diagnosing and/or monitoring treatment of a disease causing changes in pH wherein the compounds or biosensors are applied.
- the present invention also relates to use of the compounds or biosensors in quality control of food or in the examination of plants and organisms.
- DNP dissolution dynamic nuclear polarization
- Hyperpolarized [1- 13 C]-pyruvate is described to be used for detecting tumor response to chemotherapy treatment in lymphoma-bearing mice (Day et al., 2007) and is currently being used in patients as a novel contrast agent in a clinical study at the University of San Francisco for applications in metabolic imaging of prostate carcinoma (Nelson et al., 2013 -1 and Nelson et al., 2013 -2).
- This first-in-man imaging study evaluated the safety and feasibility of hyperpolarized [1- 13 C]-pyruvate as an agent for noninvasively characterizing alterations in tumor metabolism for patients with prostate cancer. It was possible to evaluate the distribution of [1- 13 C]-pyruvate and its metabolic product lactate in a matter of seconds, as well as the flux of pyruvate to lactate.
- WO 2008/020764 A1 discloses methods of 13 C-MR imaging and/or 13 C-MR spectroscopy of cell death using an imaging medium which comprises hyperpolarized 13 C-pyruvate.
- WO 2008/020765 A2 discloses an imaging medium containing lactate and hyperpolarized 13 C-pyruvate, a method to produce said imaging medium, use of said imaging medium and methods of 13 C-MR imaging and/or 13 C-MR spectroscopy wherein said imaging medium is used.
- WO 2011/138269 A1 discloses a hyperpolarized MR imaging medium comprising hyperpolarized [ 13 C, 2 H]lactate and a method of 13 C-MR detection for the determination of lactate dehydrogenase (LDH) activity.
- LDH lactate dehydrogenase
- this object is solved by the use of a compound with at least one pH-sensitive chemical shift for determining pH and/or measuring pH changes, wherein the compound is selected from pyruvic acid and its metabolites, compounds produced from pyruvic acid after interaction with acid, and compounds comprising at least one enolic group whose pK a value is lowered through effects of at least one neighboring group into a physiological and/or pathological pH-range.
- a biosensor for determining pH and/or measuring pH changes comprising at least one compound with at least one pH-sensitive chemical shift of the present invention, optionally, a reference compound, optionally, pharmaceutically acceptable carriers and/or excipients.
- this object is solved by providing the compound of the present invention or the biosensor of the present invention for use in in vivo magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS).
- MRI magnetic resonance imaging
- MRS magnetic resonance spectroscopy
- this object is solved by providing the compound of the present invention or the biosensor of the present invention for use in diagnosing and/or monitoring treatment of a disease causing changes in pH.
- this object is solved by using the compound of the present invention or the biosensor of the present invention as pH sensor for use in in-vitro magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS).
- MRI magnetic resonance imaging
- MRS magnetic resonance spectroscopy
- this object is solved by an in-vitro method for determining pH and/or measuring pH changes, preferably in real-time, comprising the steps of
- this object is also solved by an in-vivo method for determining pH and/or measuring pH changes, preferably in real-time, comprising the steps of
- this object is solved by a method of diagnosing and/or monitoring treatment of a disease causing changes in pH, comprising the steps of
- this object is solved by using the compound of the present invention or the biosensor of the present invention in quality control of food or in the examination of plants and organisms.
- pH biosensors based on pyruvic acid and its metabolites, compounds produced from pyruvic acid after interaction with acid, or on compounds with pH-sensitive enolic group(s)
- the present invention provides the use of a compound with at least one pH-sensitive chemical shift for determining pH and/or measuring pH changes.
- the inventors have surprisingly found that it is possible to make use of the pH-dependent displacement of chemical shifts in compounds for determining one or several pH values and/or for measuring pH changes.
- this concerns the displacement of pH sensitive 13 C chemical shifts in 13 C-magnetic resonance imaging and/or 13 C magnetic resonance spectroscopy.
- the present invention thus provides for the use of a compound which shows a pH-dependent displacement of at least one pH-sensitive chemical shift for determining pH and/or measuring pH changes.
- the term "displacement of a chemical shift, ", as used herein is meant to refer to a change in position of the respective chemical shift.
- “displacement of a chemical shift” is preferably meant to refer to a change in position of a 13 C chemical shift.
- a compound with at least one pH-sensitive chemical shift comprises one or more pH-sensitive chemical shifts, such as two, three, four or more.
- a novel pH biosensor is presented (that is based on a compound with at least one pH-sensitive chemical shift, such as zymonic acid, its analogs or further compounds produced by acid treatment/interaction from pyruvic acid) for magnetic resonance that is very sensitive to pH-changes in a physiologically and/or pathologically relevant pH range.
- This novel sensor acts independently of its concentration and enzymatic reactions and therefore allows a very accurate pH mapping at high spatial resolution making it a promising probe for the translation to the clinic.
- Magnetic resonance refers to the observation of Larmor precession in a magnetic field (see Ernst, 1997 and de Graaf, 2007), and includes measurements at a NMR spectrometer, an NMR microimaging system, an MRI scanner, a low-field NMR device, microfluidic arrays ("NMR on a chip"), and/or combinations thereof. Measurement includes all variations of spatially and/or spectrally resolved magnetic resonance techniques, such as magnetic resonance spectroscopy (MRS), magnetic resonance imaging (MRI), or magnetic resonance spectroscopic imaging (MRSI).
- MRS magnetic resonance spectroscopy
- MRI magnetic resonance imaging
- MRSI magnetic resonance spectroscopic imaging
- said compound with at least one pH-sensitive chemical shift is selected from pyruvic acid and its metabolites, compounds produced from pyruvic acid after interaction with acid and compounds comprising at least one enolic group whose pK a value is lowered through effects of at least one neighboring group into a physiological and/or pathological pH range.
- ⁇ shift in magnetic resonance refers to the resonance of a nucleus relative to a suitable standard, such as tetramethylsilane (TMS).
- TMS tetramethylsilane
- the compounds comprise at least one enolic group (preferably one or more enolic groups, such as two, three, four or more) whose pKa-value is lowered through effects of one or more neighboring groups into a physiological and/or pathological pH-range, such as two, three, four or more neighboring groups.
- a "neighboring group to a specific group” refers to a functional group (such as a carboxylic group or ester group in Zymonic acid) connected up to seven bonds away from such specific group, e.g. from the enolic group.
- a “physiological and/or pathological pH-range” or “physiologically and/or pathologically relevant pH-range” refers to pH ranges of from about 5 to about 9.
- a “physiological pH-range” is from about 6 to about 8.
- said compound with at least one pH-sensitive chemical shift exhibits at least one NMR resonance with a pH-sensitive chemical shift in an NMR spectrum.
- a preferred example of said compound with at least one pH-sensitive chemical shift is zymonic acid.
- Zymonic acid is also referred to as 2,5-dihydro-4-hydroxy-2-methyl-5-oxo-2-furancarboxylic acid.
- IUPAC name 4-hydroxy-2-methyl-5-oxo-2,5-dihydrofuran-2-carboxylic acid
- Traditional IUPAC name 4-hydroxy-2-methyl-5-oxofuran-2-carboxylic acid (see http://www.hmdb.ca/metabolites/HMDB31210))
- zymonic acid exhibits a pH-dependent chemical shift for some of its 13 C- and 1 H-resonances (marked in Figure 1 ).
- Figure 1 zymonic acid's pK a -values are shown and assigned to the relevant proton donating groups.
- the pK a of the enolic group is 6.95.
- Zymonic acid has been mentioned in the 1950s for the first time and can be produced by yeast bacteria from glucose or can originate from a ring closure of parapyruvate molecules which in turn can originate from pyruvic acid_ENREF_13 (Bloomer et al., 1970 -1; Bloomer et al., 1970 -2; Stodola et al., 1952; de Jong, 1901).
- Zymonic acid is used as a flavor constituent for confectionary and in the tobacco industry and is therefore not toxic when administered in vivo.
- Zymonic acid is an extremely sensitive pH biosensor for magnetic resonance spectroscopy (MRS) and magnetic resonance imaging (MRI) and exhibits the following properties, which sets zymonic acid apart from other non-invasive methods to measure pH:
- the compound is preferably selected from zymonic acid, analogs of zymonic acid, pyruvic acid and its metabolites, compounds that are produced from pyruvic acid after interaction with acid, diethyl oxaloacetic acid, and their hydrates, salts, solutions, stereoisomers.
- an "analog of zymonic acid" is
- said analog is selected from
- X is selected from CR 6 R 7 , O, NR 6 , S, and wherein R 1 to R 7 is, at each occurrence, independently selected from H, alkyl, halogen, CN, methoxy, carboxy, aryl, e.g. benzyl, wherein, preferably, one of R 2 and R 3 is carboxy.
- a "compound that is produced from pyruvic acid after interaction with acid” refers to any (other) compound that is produced when HCl or an other strong or weak acid (aqueous or as a gas) acts on pyruvic acid for some time, and which compound exhibits a pH sensitive chemical shift as defined herein.
- HCl or an other strong or weak acid aqueous or as a gas
- Another example for a compound with a pH sensitive chemical shift according to the present invention is diethyl oxaloacetic acid which has an enolic group with a pKa of 7.6 (Montgomery & Webb, 1954).
- bicarbonate as a metabolite of pyruvic acid is not encompassed by the invention.
- a (acid) compound with at least one pH-sensitive chemical shift of the invention includes, inter alia, zymonic acid, its analogs and further compounds, as defined herein.
- the compound is 13 C-labeled. More preferably, the compound exhibits at least one pH-sensitive 13 C-chemical shift, such as in the range of 170-180 ppm.
- the compound exhibits at least one pH-sensitive chemical shift sensitive in the physiological and/or pathological pH range, from about pH 5 to about pH 9.
- the compound is hyperpolarized.
- Hyperpolarization of NMR active 13 C-nuclei may be achieved by different methods, which are for instance described in WO 98/30918 , WO 99/24080 and WO 99/35508 , and hyperpolarization methods are polarization transfer from a noble gas, "brute force", spin refrigeration, the parahydrogen method (parahydrogen induced polarisation (PHIP)) and dynamic nuclear polarization (DNP).
- PHIP parahydrogen induced polarisation
- DNP dynamic nuclear polarization
- the hyperpolarization is by dynamic nuclear polarization (DNP).
- DNP dynamic nuclear polarization
- hypopolarized refers to a nuclear polarization level in excess of 0.1%, more preferred in excess of 1% and most preferred in excess of 10%.
- the level of polarization may for instance be determined by solid state 13 C-NMR measurements, such as in solid hyperpolarized 13 C-pyruvic acid or 13 C-zymonic acid (or other compounds), e.g. obtained by dynamic nuclear polarization (DNP) of 13 C-pyruvic acid or 13 C-zymonic acid.
- DNP dynamic nuclear polarization
- the solid state 13 C-NMR measurement preferably consists of a simple pulse-acquire NMR sequence using a low flip angle.
- the signal intensity of the hyperpolarized 13 C-pyruvic acid/zymonic acid in the NMR spectrum is compared with signal intensity in a NMR spectrum acquired before the polarization process.
- the level of polarization is then calculated from the ratio of the signal intensities before and after polarization.
- the level of polarization for dissolved hyperpolarized 13 C-pyruvic acid or 13 C-zymonic acid (or other compounds) may be determined by liquid state NMR measurements.
- the signal intensity of the dissolved hyperpolarized 13 C-pyruvic acid or 13 C-zymonic acid is compared with the signal intensity before polarization.
- the level of polarization is then calculated from the ratio of the signal intensities before and after polarization.
- the (acid) compound with one or more pH-sensitive chemical shifts of the invention has a pK a value in a physiological and/or pathological pH range (from about pH 5 to about pH 9).
- the carbon(s) belonging to the pH-sensitive chemical shift(s) of the (acid) compound with one or more pH-sensitive chemical shifts exhibit(s) a long longitudinal relaxation time T 1 .
- a reference chemical shift which is pH-insensitive, i.e. not pH-sensitive and, thus, exhibits no change in chemical shift upon change of pH, is required.
- This is typically provided in the form of a further compound, the "reference compound”, that is added to or also present in a sample.
- a chemical shift with a different chemical-shift-pH-correlation can serve as a reference. This may, e.g., be a chemical shift within the compound according to the present invention.
- the reference chemical shift can be an endogenous reference or an exogenous reference or a chemical shift of the compound itself or its metabolites.
- the (acid) compound with one or more pH-sensitive chemical shifts of the invention furthermore exhibits at least one chemical shift that is not pH-sensitive, preferably at least one pH-insensitive 13 C-chemical shift. (endogenous reference)
- the (acid) compound with one or more pH-sensitive chemical shifts of the invention furthermore exhibits at least one chemical shift that is pH-sensitive with a different chemical-shift-pH-correlation, preferably at least one pH-sensitive 13 C-peak. (endogenous pH-sensitive reference)
- a reference compound is used.
- the reference compound is a compound which does not exhibit pH-sensitive shift(s) (exogenous reference).
- the reference compound is 13 C-labeled and preferably exhibits at least one pH-insensitive 13 C-peak.
- a preferred reference compound is 13 C urea (or 13 C-pyruvate, or 13 C-pyruvate hydrate, or 13 C-parapyruvate, or 13 C-lactate, or 13 C-alanine ).
- the reference compound is obtained in that a substance or compound (such as urea) is co-polarized at the same time when the compound with one or more pH-sensitive chemical shift of the invention is hyperpolarized.
- a substance or compound such as urea
- the present invention provides an imaging medium, comprising at least one compound with at least one pH-sensitive chemical shift as defined herein, optionally, pharmaceutically acceptable carriers and/or excipients, such as an aqueous carrier, like a buffer.
- the imaging medium is a magnetic resonance (MR) imaging medium.
- MR magnetic resonance
- imaging medium refers to a liquid composition comprising at least one compound with one or more pH-sensitive chemical shifts of the present invention (such as hyperpolarized 13 C-zymonic acid or hyperpolarized 13 C-pyruvate) as the MR active agent.
- the imaging medium according to the invention may be used as imaging medium in MR imaging or as MR spectroscopy agent in MR spectroscopy.
- the imaging medium according to the invention may be used as imaging medium for in vivo MR imaging and/or spectroscopy, i.e. MR imaging and/or spectroscopy carried out on living human or non-human animal beings. Further, the imaging medium according to the invention may be used as imaging medium for in vitro MR imaging and/or spectroscopy, e.g.
- Cell cultures may be derived from cells obtained from samples derived from the human or non-human animal body, like for instance blood, urine or saliva, while ex vivo tissue may be obtained from biopsies or surgical procedures.
- the imaging medium preferably comprises in addition to the MR active agent an aqueous carrier, preferably a physiologically tolerable and pharmaceutically accepted aqueous carrier, like water, a buffer solution or saline.
- an imaging medium may further comprise conventional pharmaceutical or veterinary carriers or excipients, e.g. formulation aids such as are conventional for diagnostic compositions in human or veterinary medicine.
- the imaging medium preferably comprises in addition to the MR active agent a solvent which is compatible with and used for in vitro cell or tissue assays, for instance DMSO or methanol or solvent mixtures comprising an aqueous carrier and a nonaqueous solvent, for instance mixtures of DMSO and water or a buffer solution or methanol and water or a buffer solution.
- a solvent which is compatible with and used for in vitro cell or tissue assays
- DMSO or methanol or solvent mixtures comprising an aqueous carrier and a nonaqueous solvent, for instance mixtures of DMSO and water or a buffer solution or methanol and water or a buffer solution.
- At least one compound with at least one or more pH-sensitive chemical shifts is used in concentrations of up to 1 M, preferably 0.1 to 100 mM, such as 10 to 50 mM, in the imaging medium.
- the present invention provides a biosensor for determining pH and/or measuring pH changes, comprising at least one compound with at least one pH-sensitive chemical shift as defined herein, optionally, a reference compound, optionally, pharmaceutically acceptable carriers and/or excipients.
- the reference compound is a compound which does not exhibit pH-sensitive chemical shift(s) (exogenous reference chemical shift, as described above).
- the reference compound is 13 C-labeled and preferably exhibits at least one pH-insensitive 13 C-chemical shift.
- a chemical shift with a different chemical-shift-pH-correlation can serve as a reference (see definition of chemical shift reference above).
- a preferred reference compound is 13 C urea.
- the reference compound is obtained in that a substance or compound (such as urea) is co-polarized at the same time when the compound with one or more pH-sensitive chemical shifts of the invention is hyperpolarized.
- a substance or compound such as urea
- the at least one compound with at least one/one or more pH-sensitive chemical shift is used in concentrations of up to 1 M, preferably 0.1 to 100 mM, such as 10 to 50 mM, in the biosensor.
- the present invention provides the compound with at least one pH-sensitive chemical shift of the present invention (the imaging medium of the present invention) or the biosensor of the present invention for use in in vivo magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS).
- MRI magnetic resonance imaging
- MRS magnetic resonance spectroscopy
- the present invention provides the compound with at least one pH-sensitive chemical shift of the present invention (the imaging medium of the present invention) or the biosensor of the present invention for use in diagnosing and/or monitoring treatment of a disease causing changes in pH.
- a "disease causing changes in pH” is selected from cancers, inflammation, ischemia, renal failure and chronic obstructive pulmonary disease.
- the imaging is real-time.
- the uses comprise the resolution of the spatial pH distribution, preferably, comprising the use of frequency encoding techniques, such as all methods of chemical shift imaging (CSI) and phase sensitive encodings of chemical shifts (as e.g. used in non-invasive spatially resolved temperature measurements using changes in proton resonance frequencies (0.01 ppm/°C)). See Rieke et al., 2004.
- frequency encoding techniques such as all methods of chemical shift imaging (CSI) and phase sensitive encodings of chemical shifts (as e.g. used in non-invasive spatially resolved temperature measurements using changes in proton resonance frequencies (0.01 ppm/°C)). See Rieke et al., 2004.
- the present invention provides the use of the compound of the present invention as pH sensor for in vitro NMR-spectroscopy.
- the use comprises response-to-treatment monitoring of treatments applied to cell lines.
- the present invention provides an in-vitro as well as an in-vivo method for determining pH and/or measuring pH changes.
- Said in-vitro method of the present invention comprises the steps of
- the sample is a cell culture sample, such as derived from a human or non-human body, ex vivo tissue, cell culture.
- step (iii) is carried out in an MRI scanner machine with MRS or MRSI capabilities or in a NMR spectrometer (such as with a microimaging head).
- the pH-independent chemical shift (acting as a reference chemical shift) is from the same compound, i.e. the compound with at least one pH-sensitive chemical shift (endogenous reference chemical shift, as described above), or from another substance (exogenous reference chemical shift, as described above), and is used as a pH-independent reference.
- a chemical shift with a different chemical-shift-pH-correlation can serve as a reference.
- Said in-vivo method of the present invention comprises the steps of
- the in-vivo method is a real-time method.
- the patient is a human.
- the patient can be diagnosed with a disease causing changes in pH or the treatment of a disease causing changes in pH can be monitored.
- a disease causing changes in pH is selected from cancers, inflammation, ischemia, renal failure and chronic obstructive pulmonary disease.
- the pH-independent chemical shift is from the same compound, i.e. the compound with at least one pH-sensitive chemical shift (endogenous reference chemical shift, as described above), or from another substance (exogenous reference chemical shift, as described above), and is used as a pH-independent reference.
- a chemical shift with a different chemical-shift-pH-correlation can serve as a reference.
- the in-vitro and/or the in-vivo method comprises the resolution of the spatial pH distribution and, thus, obtaining spatially resolved NMR spectra, preferably, comprising the use of frequency encoding techniques, such as all methods of chemical shift imaging (CSI) and phase sensitive encodings of chemical shifts (as e.g. used in non-invasive spatially resolved temperature measurements using changes in proton resonance frequencies (0.01 ppm/°C)). See Rieke et al., 2004.
- frequency encoding techniques such as all methods of chemical shift imaging (CSI) and phase sensitive encodings of chemical shifts (as e.g. used in non-invasive spatially resolved temperature measurements using changes in proton resonance frequencies (0.01 ppm/°C)).
- the present invention provides a method of diagnosing and/or monitoring treatment of a disease causing changes in pH.
- Said method comprises the steps of
- step (iii) comprises comparing said relative chemical shifts to predetermined calibration curves of the compound with at least one pH-sensitive chemical shift in solutions with known pH.
- the method further comprises hyperpolarizing the compound with at least one pH-sensitive chemical shift before application or administration to the body of the patient.
- the compound is hyperpolarized by any hyperpolarization methods, such as dissolution dynamic nuclear polarization (DNP) or parahydrogen induced polarisation (PHIP).
- DNP dissolution dynamic nuclear polarization
- PHIP parahydrogen induced polarisation
- a disease causing changes in pH is selected from cancers, inflammation, ischemia, renal failure and chronic obstructive pulmonary disease.
- the method comprises magnetic resonance tomography (MRT).
- MRT magnetic resonance tomography
- the imaging is real-time.
- the method comprises the resolution of the spatial pH distribution and, thus, obtaining spatially resolved NMR spectra, preferably, comprising the use of frequency encoding techniques, such as all methods of chemical shift imaging (CSI) and phase sensitive encodings of chemical shifts (as e.g. used in non-invasive spatially resolved temperature measurements using changes in proton resonance frequencies (0.01 ppm/°C)). See Rieke et al., 2004.
- frequency encoding techniques such as all methods of chemical shift imaging (CSI) and phase sensitive encodings of chemical shifts (as e.g. used in non-invasive spatially resolved temperature measurements using changes in proton resonance frequencies (0.01 ppm/°C)).
- the present invention provides the use of a compound of the present invention or a biosensor of the present invention as in quality control of food or in the examination of plants and organisms.
- a novel pH biosensor that is based on compounds with at least one pH-sensitive chemical shift, such as zymonic acid or its analogs) for magnetic resonance that is very sensitive to pH-changes in a physiologically and/or pathologically relevant pH range.
- This novel sensor acts independently of its concentration and enzymatic reactions and therefore allows a very accurate pH mapping at high spatial resolution making it a promising probe for the translation to the clinic.
- the invention is based on the fact that the chemical compound zymonic acid exhibits a pH-dependent chemical shift for some of its 13 C- and 1 H-resonances (marked in Figure 1 ).
- Zymonic acid has been discovered and named in the 1950s for the first time and can be produced by yeast bacteria from glucose or can originate from a ring closure of parapyruvate molecules which in turn can originate from pyruvic acid_ENREF_13 (Bloomer et al., 1970 -1; Bloomer et al., 1970 -2; Stodola et al., 1952).
- Zymonic acid is used as a flavor constituent for confectionary and in the tobacco industry and is therefore most likely not toxic when administered in vivo.
- Zymonic acid is an extremely sensitive pH biosensor for magnetic resonance spectroscopy and magnetic resonance tomography and exhibits the following properties, which sets zymonic acid apart from other non-invasive methods to measure pH:
- the pH-dependent change in chemical shifts of zymonic acid can be used in magnetic resonance tomography to resolve the spatial pH distribution for which established frequency encoding techniques can be used.
- pH values were measured with a standard pH electrode.
- Zymonic acid was produced from pyruvic acid as described in the literature _ENREF_18 (De Jong, 1901). To this end, concentrated hydrochloric acid was added to pyruvic acid in a 1:1 volume ratio. The reaction mixture was then allowed to stand over concentrated sulfuric acid in an desiccator for two weeks at room temperature. Volatile compounds were removed in vacuo whereupon the yellow oil obtained showed crystallization. The yellow and strongly hygroscopic solid was then used without further purification.
- Figure 5 shows an exemplary 13 C spectrum (left column of Figure 5 ) and 1 H spectrum (right column of Figure 5 ) of zymonic acid produced from [1- 13 C]-pyruvic acid.
- zymonic acid slowly decomposed into parapyruvate within a period of 24 hours_ENREF_19 (Montgomery et al., 1956), its peaks can be assigned from subtraction of one spectrum from the other in combination with standard NMR prediction software (ChemDraw®).
- the proton spectra show a buffered solution of zymonic acid in water and D 2 O, once measured right after preparation of the solution (top right of Figure 5 ) and 24h later (bottom right of Figure 5 ).
- Zymonic acid is formed from parapyruvate by a ring closure.
- the originally 13 C-labeled carboxyl groups create a 13 C-labeling of zymonic acid in positions 1 and 2 (see Figure 1 ).
- the pH dependent chemical shift of peak 1 of zymonic acid was determined to be approx. 2.35 ppm/pH in this measurement and approx. 1.17 ppm/pH for peak 2, which is in good agreement with the results from the thermally polarized and unlabeled zymonic acid (cf. Figure 2 , i.e. 2.11 ppm/H and 1.11 ppm/pH, respectively).
- the tumor cells were treated with Triton X-100 so that they gradually become necrotic with time and that pH decreases successively, similar to the case of a necrotic tumor.
- this pH change in tumor cells can be detected using our pH biosensor.
- the pH of the tumor cell suspension was determined immediately after the NMR-measurement using a pH electrode as a reference (see Figure 4 A,B ).
- Figure 4C two peaks, which can be assigned to the hyperpolarized zymonic acid, show a strong pH dependent linear change in chemical shift with up to 2.35 ppm/pH.
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Abstract
The present invention relates to the use of compounds with at least one pH-sensitive chemical shift for determining pH and/or measuring pH changes in magnetic resonance. More specifically, the present invention is related to compounds with at least one pH-sensitive chemical shift, such compound being selected from pyruvic acid and its metabolites, compounds produced from pyruvic acid after interaction with acid, and compounds comprising at least one enolic group whose pKa value is lowered through effects of at least one neighboring group into a physiological and/or pathological pH-range, and wherein the compound exhibits at least one pH-sensitive chemical shift in an NMR spectrum. The present invention further relates to biosensors comprising at least one of the compounds. The present invention is furthermore related to in vitro and in vivo methods for determining pH and/or measuring pH changes using the compounds or biosensors. The present invention also relates to methods of diagnosing and/or monitoring treatment of a disease causing changes in pH wherein the compounds or biosensors are applied. The present invention also relates to use of the compounds or biosensors in quality control of food or in the examination of plants and organisms.
Description
- The present invention relates to the use of compounds with at least one pH-sensitive chemical shift for determining pH and/or measuring pH changes in magnetic resonance. More specifically, the present invention is related to compounds with at least one pH-sensitive chemical shift, such compound being selected from pyruvic acid and its metabolites, compounds produced from pyruvic acid after interaction with acid, and compounds comprising at least one enolic group whose pKa value is lowered through effects of at least one neighboring group into a physiological and/or pathological pH-range, and wherein the compound exhibits at least one pH-sensitive chemical shift in an NMR spectrum. The present invention further relates to biosensors comprising at least one of the compounds. The present invention is furthermore related to in vitro and in vivo methods for determining pH and/or measuring pH changes using the compounds or biosensors. The present invention also relates to methods of diagnosing and/or monitoring treatment of a disease causing changes in pH wherein the compounds or biosensors are applied. The present invention also relates to use of the compounds or biosensors in quality control of food or in the examination of plants and organisms.
- In mammalian tissues, intra- and extracellular pH are regulated in a dynamic steady state driven by metabolic acid production, export of H+ from cells, and diffusion of these H+ equivalents from the site of production to the blood, where they are buffered by an open and dynamic CO2/HCO3 - system. Although this balance is quite robust, it can be altered in many pathological states, notably cancers, renal failure, ischemia, inflammation and chronic obstructive pulmonary disease (Gillies et al., 2004).
- In the field of magnetic resonance various pH -sensor molecules have been developed whose 1H, 19F, or 31P resonance frequencies (chemical shifts) change with pH (Gillies et al., 2004; Arnold et al., 1984; De Leon et al., 2009; Morikawa et al., 1993 and Zhang et al., 2010). Those methods allow for a non-invasive detection of both intra- and extracellular pH. However, they suffer from low sensitivity and are thus not suitable for highly spatially resolved pH mapping by magnetic resonance imaging (MRI).
- For this reason other classes of exogenous pH-sensitive contrast agents were developed based on pH-dependent magnetization transfer between water and a contrast agent (mostly lanthanoid complexes) or based on pH-dependent relaxation properties of gadolinium complexes (Gillies et al., 2004; De Leon et al., 2009; Aime et al., 2002; Castelli et al, 2013). The main disadvantages of these pre-clinically applied methods are that they require either long irradiation with radiofrequency waves or an exact determination of contrast agent concentration. Therefore, it is unclear, whether those techniques will translate into clinical applications. Long radiofrequency irradiation is mostly prohibited by specific absorption rate (SAR) limitations in the clinic and gadolinium-/lanthanoid-complexes are restricted in clinical use due to their toxicity.
- In 2003 dissolution dynamic nuclear polarization (DNP) revolutionized magnetic resonance spectroscopy by bringing nuclear spins in a so-called hyperpolarized state leading to a sensitivity gain by more than four orders of magnitude. This allows to image formerly insensitive nuclei such as 13C (Ardenkjaer-Larsen et al., 2003). A technique for mapping pH spatially by taking the ratio of hyperpolarized bicarbonate (HCO3 -) to CO2 also relies on DNP which represents the current state-of-the-art method in NMR-based pH measurements (Gallagher et al., 2008). Disadvantages of this method are the signal-to-noise-ratio-limited accuracy in the measurement of peak intensities and the influence of enzyme concentration (e.g. carbonic anhydrase) on the measurement of pH (Schroeder et al., 2010).
- Hyperpolarized [1-13C]-pyruvate is described to be used for detecting tumor response to chemotherapy treatment in lymphoma-bearing mice (Day et al., 2007) and is currently being used in patients as a novel contrast agent in a clinical study at the University of San Francisco for applications in metabolic imaging of prostate carcinoma (Nelson et al., 2013 -1 and Nelson et al., 2013 -2). This first-in-man imaging study evaluated the safety and feasibility of hyperpolarized [1-13C]-pyruvate as an agent for noninvasively characterizing alterations in tumor metabolism for patients with prostate cancer. It was possible to evaluate the distribution of [1-13C]-pyruvate and its metabolic product lactate in a matter of seconds, as well as the flux of pyruvate to lactate.
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WO 2008/020764 A1 discloses methods of 13C-MR imaging and/or 13C-MR spectroscopy of cell death using an imaging medium which comprises hyperpolarized 13C-pyruvate.WO 2008/020765 A2 discloses an imaging medium containing lactate and hyperpolarized 13C-pyruvate, a method to produce said imaging medium, use of said imaging medium and methods of 13C-MR imaging and/or 13C-MR spectroscopy wherein said imaging medium is used.WO 2011/138269 A1 discloses a hyperpolarized MR imaging medium comprising hyperpolarized [13C, 2H]lactate and a method of 13C-MR detection for the determination of lactate dehydrogenase (LDH) activity. - Besides magnetic resonance, optical methods such as fluorescence microscopy_ENREF_11 (Hassan et al., 2007) or radioactive tracers_ENREF_12 (Vavere et al., 2009) in positron-emission-tomography (PET) can potentially be used for pH-mapping.
- Although many non-invasive pH-mapping methods exist, none of these made the translation from preclinical studies to the clinic.
- There is a need in the art for improved means and methods for measuring pH and/or pH changes, preferably in real-time and/or in a spatial resolution, especially in vivo.
- According to the present invention this object is solved by the use of a compound with at least one pH-sensitive chemical shift for determining pH and/or measuring pH changes, wherein the compound is selected from pyruvic acid and its metabolites, compounds produced from pyruvic acid after interaction with acid, and compounds comprising at least one enolic group whose pKa value is lowered through effects of at least one neighboring group into a physiological and/or pathological pH-range.
- According to the present invention this object is solved by a biosensor for determining pH and/or measuring pH changes, comprising
at least one compound with at least one pH-sensitive chemical shift of the present invention,
optionally, a reference compound,
optionally, pharmaceutically acceptable carriers and/or excipients. - According to the present invention this object is solved by providing the compound of the present invention or the biosensor of the present invention for use in in vivo magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS).
- According to the present invention this object is solved by providing the compound of the present invention or the biosensor of the present invention for use in diagnosing and/or monitoring treatment of a disease causing changes in pH.
- According to the present invention this object is solved by using the compound of the present invention or the biosensor of the present invention as pH sensor for use in in-vitro magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS)..
- According to the present invention this object is solved by an in-vitro method for determining pH and/or measuring pH changes, preferably in real-time, comprising the steps of
- (i) providing a sample,
- (ii) adding a compound with at least one pH-sensitive chemical shift of the present invention or a biosensor of the present invention to the sample,
- (iii) performing magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS) and thereby determining the pH or pH changes of or in the sample by obtaining a chemical shift difference between at least one pH-sensitive chemical shift of the compound and a pH-independent chemical shift, such pH-independent chemical shift acting as a reference chemical shift, or by measurement of the absolute chemical shift, or by measuring chemical shift differences involving at least one pH-sensitive chemical shift, preferably over time.
- According to the present invention this object is also solved by an in-vivo method for determining pH and/or measuring pH changes, preferably in real-time, comprising the steps of
- (i) applying or administering a compound with at least one pH-sensitive chemical shift of the present invention or a biosensor of the present invention to the body of a patient or non-human animal,
- (ii) performing magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS) and thereby determining one or several pH values or pH changes of or in the body of said patient or non-human animal by obtaining achemical shift difference between at least one pH-sensitive chemical shift of the compound and a pH-independent chemical shift, such pH independent chemical shift acting as a reference chemical shift or by measurement of the absolute chemical shift, or by measuring chemical shift differences involving at least one pH-sensitive chemical shift, preferably over time.
- According to the present invention this object is solved by a method of diagnosing and/or monitoring treatment of a disease causing changes in pH, comprising the steps of
- (i) applying or administering a compound with at least one pH-sensitive chemical shift of the present invention or a biosensor of the present invention to the body of a patient or non-human animal,
- (ii) performing magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS) and thereby determining one or several pH values or pH changes of or in the body of said patient or non-human animal by obtaining the chemical shift difference between at least one pH-sensitive chemical shift of the compound and a pH-independent chemical shift, such pH-independent chemical shift acting as a reference chemical shift, or by measurement of the absolute chemical shift, or by measuring chemical shift differences involving at least one pH-sensitive chemical shift over time,
- (iii) calculating pH maps based on spatially resolved pH values or pH changes determined in step (ii).
- According to the present invention this object is solved by using the compound of the present invention or the biosensor of the present invention in quality control of food or in the examination of plants and organisms.
- Before the present invention is described in more detail below, it is to be understood that this invention is not limited to the particular methodology, protocols and reagents described herein as these may vary. It is also to be understood that the terminology used herein is for the purpose of describing particular embodiments only, and is not intended to limit the scope of the present invention which will be limited only by the appended claims. Unless defined otherwise, all technical and scientific terms used herein have the same meanings as commonly understood by one of ordinary skill in the art. For the purpose of the present invention, all references cited herein are incorporated by reference in their entireties.
- pH biosensors based on pyruvic acid and its metabolites, compounds produced from pyruvic acid after interaction with acid, or on compounds with pH-sensitive enolic group(s) As discussed above, the present invention provides the use of a compound with at least one pH-sensitive chemical shift for determining pH and/or measuring pH changes.
- The inventors have surprisingly found that it is possible to make use of the pH-dependent displacement of chemical shifts in compounds for determining one or several pH values and/or for measuring pH changes. In particular, this concerns the displacement of pH sensitive 13C chemical shifts in 13C-magnetic resonance imaging and/or 13C magnetic resonance spectroscopy.
- The present invention thus provides for the use of a compound which shows a pH-dependent displacement of at least one pH-sensitive chemical shift for determining pH and/or measuring pH changes. The term "displacement of a chemical shift, ", as used herein is meant to refer to a change in position of the respective chemical shift. In this context, "displacement of a chemical shift" is preferably meant to refer to a change in position of a 13C chemical shift.
- Preferably, a compound with at least one pH-sensitive chemical shift comprises one or more pH-sensitive chemical shifts, such as two, three, four or more.
- Here, a novel pH biosensor is presented (that is based on a compound with at least one pH-sensitive chemical shift, such as zymonic acid, its analogs or further compounds produced by acid treatment/interaction from pyruvic acid) for magnetic resonance that is very sensitive to pH-changes in a physiologically and/or pathologically relevant pH range. This novel sensor acts independently of its concentration and enzymatic reactions and therefore allows a very accurate pH mapping at high spatial resolution making it a promising probe for the translation to the clinic.
- As used herein "magnetic resonance" refers to the observation of Larmor precession in a magnetic field (see Ernst, 1997 and de Graaf, 2007), and includes measurements at a NMR spectrometer, an NMR microimaging system, an MRI scanner, a low-field NMR device, microfluidic arrays ("NMR on a chip"), and/or combinations thereof. Measurement includes all variations of spatially and/or spectrally resolved magnetic resonance techniques, such as magnetic resonance spectroscopy (MRS), magnetic resonance imaging (MRI), or magnetic resonance spectroscopic imaging (MRSI).
- According to the present invention, said compound with at least one pH-sensitive chemical shift is selected from pyruvic acid and its metabolites, compounds produced from pyruvic acid after interaction with acid and compounds comprising at least one enolic group whose pKa value is lowered through effects of at least one neighboring group into a physiological and/or pathological pH range.
- As used herein "chemical shift" in magnetic resonance refers to the resonance of a nucleus relative to a suitable standard, such as tetramethylsilane (TMS).
- Preferably, the compounds comprise at least one enolic group (preferably one or more enolic groups, such as two, three, four or more) whose pKa-value is lowered through effects of one or more neighboring groups into a physiological and/or pathological pH-range, such as two, three, four or more neighboring groups.
- A "neighboring group to a specific group" refers to a functional group (such as a carboxylic group or ester group in Zymonic acid) connected up to seven bonds away from such specific group, e.g. from the enolic group.
- A "physiological and/or pathological pH-range" or "physiologically and/or pathologically relevant pH-range" refers to pH ranges of from about 5 to about 9. Preferably, a "physiological pH-range" is from about 6 to about 8.
- According to the present invention, said compound with at least one pH-sensitive chemical shift exhibits at least one NMR resonance with a pH-sensitive chemical shift in an NMR spectrum.
- A preferred example of said compound with at least one pH-sensitive chemical shift is zymonic acid.
- Zymonic acid is also referred to as 2,5-dihydro-4-hydroxy-2-methyl-5-oxo-2-furancarboxylic acid.
IUPAC name: 4-hydroxy-2-methyl-5-oxo-2,5-dihydrofuran-2-carboxylic acid
Traditional IUPAC name: 4-hydroxy-2-methyl-5-oxofuran-2-carboxylic acid
(see http://www.hmdb.ca/metabolites/HMDB31210)) - The inventors have found that zymonic acid exhibits a pH-dependent chemical shift for some of its 13C- and 1H-resonances (marked in
Figure 1 ). InFigure 1 , zymonic acid's pKa-values are shown and assigned to the relevant proton donating groups. The pKa of the enolic group is 6.95. - Zymonic acid has been mentioned in the 1950s for the first time and can be produced by yeast bacteria from glucose or can originate from a ring closure of parapyruvate molecules which in turn can originate from pyruvic acid_ENREF_13 (Bloomer et al., 1970 -1; Bloomer et al., 1970 -2; Stodola et al., 1952; de Jong, 1901). Zymonic acid is used as a flavor constituent for confectionary and in the tobacco industry and is therefore not toxic when administered in vivo.
- Zymonic acid is an extremely sensitive pH biosensor for magnetic resonance spectroscopy (MRS) and magnetic resonance imaging (MRI) and exhibits the following properties, which sets zymonic acid apart from other non-invasive methods to measure pH:
- (a) Zymonic acid exhibits the highest pH-dependent change in chemical shift measured to date with 13C shifts up to 2.35 ppm/pH in the physiologically and/or pathologically relevant range from
pH 5 topH 9 and is, thus, suitable for a very accurate noninvasive pH determination using magnetic resonance spectroscopy/imaging. It should be noted that such pH-dependent change in chemical shift typically is a change in the position of the respective resonance peak of this chemical shift in an NMR spectrum. - (b) Unlike some other pH measurement methods, the pH determination is robustly performed using a relative or absolute frequency encoding. In contrast, the amplitude encoding used in the bicarbonate method (i.e. a change in intensity) (Gallagher et al., 2008; Schroeder et al., 2010) is prone to spatial or temporal fluctuations in concentration.
- (c) 13C-labeled zymonic acid (see
peaks Figure 6 ) can be produced from [1-13C]-pyruvate in a one-step synthesis. The two labeled carbons are exposed to a weak dipolar interaction and thus exhibit a long longitudinal relaxation time T1. Hyperpolarization increases the polarization of the molecule by four to five orders of magnitude which enables pH imaging in the human body at low contrast agent concentration in the micromolar to millimolar concentration range and at the same time high spatial resolution with centimeter to sub-millimeter voxel size. - According to the present invention, the compound is preferably selected from
zymonic acid,
analogs of zymonic acid,
pyruvic acid and its metabolites,
compounds that are produced from pyruvic acid after interaction with acid,
diethyl oxaloacetic acid,
and their hydrates, salts, solutions, stereoisomers. - In one embodiment an "analog of zymonic acid" according to the invention is
- an ester, e.g. methyl ester,
- an ether,
- an amide,
- a fluorinated analog, e.g. a trifluoromethyl analog, or a
- deuterated analog.
-
- Wherein X is selected from CR6R7, O, NR6, S, and wherein R1 to R7 is, at each occurrence, independently selected from H, alkyl, halogen, CN, methoxy, carboxy, aryl, e.g. benzyl, wherein, preferably, one of R2 and R3 is carboxy.
- A "compound that is produced from pyruvic acid after interaction with acid" refers to any (other) compound that is produced when HCl or an other strong or weak acid (aqueous or as a gas) acts on pyruvic acid for some time, and which compound exhibits a pH sensitive chemical shift as defined herein. De Jong, 1901 and Montgomery & Webb, 1954 disclose a respective method of obtaining such compounds.
- Another example for a compound with a pH sensitive chemical shift according to the present invention is diethyl oxaloacetic acid which has an enolic group with a pKa of 7.6 (Montgomery & Webb, 1954).
- According to the present invention, bicarbonate as a metabolite of pyruvic acid is not encompassed by the invention.
- A (acid) compound with at least one pH-sensitive chemical shift of the invention includes, inter alia, zymonic acid, its analogs and further compounds, as defined herein.
- Preferably, the compound is 13C-labeled.
More preferably, the compound exhibits at least one pH-sensitive 13C-chemical shift, such as in the range of 170-180 ppm. - Preferably, the compound exhibits at least one pH-sensitive chemical shift sensitive in the physiological and/or pathological pH range, from about
pH 5 to aboutpH 9. - In a preferred embodiment, the compound is hyperpolarized.
- Hyperpolarization of NMR active 13C-nuclei may be achieved by different methods, which are for instance described in
WO 98/30918 WO 99/24080 WO 99/35508 - Preferably, the hyperpolarization is by dynamic nuclear polarization (DNP).
- The term "hyperpolarized" refers to a nuclear polarization level in excess of 0.1%, more preferred in excess of 1% and most preferred in excess of 10%. The level of polarization may for instance be determined by solid state 13C-NMR measurements, such as in solid hyperpolarized 13C-pyruvic acid or 13C-zymonic acid (or other compounds), e.g. obtained by dynamic nuclear polarization (DNP) of 13C-pyruvic acid or 13C-zymonic acid. The solid state 13C-NMR measurement preferably consists of a simple pulse-acquire NMR sequence using a low flip angle. The signal intensity of the hyperpolarized 13C-pyruvic acid/zymonic acid in the NMR spectrum is compared with signal intensity in a NMR spectrum acquired before the polarization process. The level of polarization is then calculated from the ratio of the signal intensities before and after polarization. In a similar way, the level of polarization for dissolved hyperpolarized 13C-pyruvic acid or 13C-zymonic acid (or other compounds) may be determined by liquid state NMR measurements. Again the signal intensity of the dissolved hyperpolarized 13C-pyruvic acid or 13C-zymonic acid is compared with the signal intensity before polarization. The level of polarization is then calculated from the ratio of the signal intensities before and after polarization.
- Preferably, the (acid) compound with one or more pH-sensitive chemical shifts of the invention has a pKa value in a physiological and/or pathological pH range (from about
pH 5 to about pH 9). - Preferably, the carbon(s) belonging to the pH-sensitive chemical shift(s) of the (acid) compound with one or more pH-sensitive chemical shifts exhibit(s) a long longitudinal relaxation time T1.
- Preferably, a reference chemical shift which is pH-insensitive, i.e. not pH-sensitive and, thus, exhibits no change in chemical shift upon change of pH, is required. This is typically provided in the form of a further compound, the "reference compound", that is added to or also present in a sample.
- Alternatively, a chemical shift with a different chemical-shift-pH-correlation can serve as a reference. This may, e.g., be a chemical shift within the compound according to the present invention.
- The reference chemical shift can be an endogenous reference or an exogenous reference or a chemical shift of the compound itself or its metabolites.
- In one embodiment, the (acid) compound with one or more pH-sensitive chemical shifts of the invention furthermore exhibits at least one chemical shift that is not pH-sensitive, preferably at least one pH-insensitive 13C-chemical shift. (endogenous reference)
- In one embodiment, the (acid) compound with one or more pH-sensitive chemical shifts of the invention furthermore exhibits at least one chemical shift that is pH-sensitive with a different chemical-shift-pH-correlation, preferably at least one pH-sensitive 13C-peak. (endogenous pH-sensitive reference)
- In one embodiment, a reference compound is used. The reference compound is a compound which does not exhibit pH-sensitive shift(s) (exogenous reference).
- Preferably the reference compound is 13C-labeled and preferably exhibits at least one pH-insensitive 13C-peak.
- A preferred reference compound is 13C urea (or 13C-pyruvate, or 13C-pyruvate hydrate, or 13C-parapyruvate, or 13C-lactate, or 13C-alanine ).
- For example, the reference compound is obtained in that a substance or compound (such as urea) is co-polarized at the same time when the compound with one or more pH-sensitive chemical shift of the invention is hyperpolarized.
- As discussed above, the present invention provides an imaging medium,
comprising
at least one compound with at least one pH-sensitive chemical shift as defined herein,
optionally, pharmaceutically acceptable carriers and/or excipients, such as an aqueous carrier, like a buffer. - Preferably, the imaging medium is a magnetic resonance (MR) imaging medium.
- The term "imaging medium" refers to a liquid composition comprising at least one compound with one or more pH-sensitive chemical shifts of the present invention (such as hyperpolarized 13C-zymonic acid or hyperpolarized 13C-pyruvate) as the MR active agent. The imaging medium according to the invention may be used as imaging medium in MR imaging or as MR spectroscopy agent in MR spectroscopy. The imaging medium according to the invention may be used as imaging medium for in vivo MR imaging and/or spectroscopy, i.e. MR imaging and/or spectroscopy carried out on living human or non-human animal beings. Further, the imaging medium according to the invention may be used as imaging medium for in vitro MR imaging and/or spectroscopy, e.g. for determining pH and/or pH changes in cell cultures or ex vivo tissues. Cell cultures may be derived from cells obtained from samples derived from the human or non-human animal body, like for instance blood, urine or saliva, while ex vivo tissue may be obtained from biopsies or surgical procedures.
- In one embodiment, the imaging medium preferably comprises in addition to the MR active agent an aqueous carrier, preferably a physiologically tolerable and pharmaceutically accepted aqueous carrier, like water, a buffer solution or saline. Such an imaging medium may further comprise conventional pharmaceutical or veterinary carriers or excipients, e.g. formulation aids such as are conventional for diagnostic compositions in human or veterinary medicine.
- In one embodiment, the imaging medium preferably comprises in addition to the MR active agent a solvent which is compatible with and used for in vitro cell or tissue assays, for instance DMSO or methanol or solvent mixtures comprising an aqueous carrier and a nonaqueous solvent, for instance mixtures of DMSO and water or a buffer solution or methanol and water or a buffer solution.
- Preferably, at least one compound with at least one or more pH-sensitive chemical shifts is used in concentrations of up to 1 M, preferably 0.1 to 100 mM, such as 10 to 50 mM, in the imaging medium.
- As discussed above, the present invention provides a biosensor for determining pH and/or measuring pH changes,
comprising
at least one compound with at least one pH-sensitive chemical shift as defined herein,
optionally, a reference compound,
optionally, pharmaceutically acceptable carriers and/or excipients. - In one embodiment, the reference compound is a compound which does not exhibit pH-sensitive chemical shift(s) (exogenous reference chemical shift, as described above).
- Preferably, the reference compound is 13C-labeled and preferably exhibits at least one pH-insensitive 13C-chemical shift.
- Alternatively, a chemical shift with a different chemical-shift-pH-correlation can serve as a reference (see definition of chemical shift reference above).
- A preferred reference compound is 13C urea.
- For example, the reference compound is obtained in that a substance or compound (such as urea) is co-polarized at the same time when the compound with one or more pH-sensitive chemical shifts of the invention is hyperpolarized.
- Preferably, the at least one compound with at least one/one or more pH-sensitive chemical shift is used in concentrations of up to 1 M, preferably 0.1 to 100 mM, such as 10 to 50 mM, in the biosensor.
- As discussed above, the present invention provides the compound with at least one pH-sensitive chemical shift of the present invention (the imaging medium of the present invention) or the biosensor of the present invention for use in in vivo magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS).
- As discussed above, the present invention provides the compound with at least one pH-sensitive chemical shift of the present invention (the imaging medium of the present invention) or the biosensor of the present invention for use in diagnosing and/or monitoring treatment of a disease causing changes in pH.
- Thereby, the progress of a disease and/or the treatment of a disease can be monitored.
- Preferably, a "disease causing changes in pH" is selected from cancers, inflammation, ischemia, renal failure and chronic obstructive pulmonary disease.
- Preferably, the imaging is real-time.
- Preferably, the uses comprise the resolution of the spatial pH distribution, preferably, comprising the use of frequency encoding techniques, such as all methods of chemical shift imaging (CSI) and phase sensitive encodings of chemical shifts (as e.g. used in non-invasive spatially resolved temperature measurements using changes in proton resonance frequencies (0.01 ppm/°C)). See Rieke et al., 2004.
- As discussed above, the present invention provides the use of the compound of the present invention as pH sensor for in vitro NMR-spectroscopy.
- Preferably, the use comprises response-to-treatment monitoring of treatments applied to cell lines.
- As discussed above, the present invention provides an in-vitro as well as an in-vivo method for determining pH and/or measuring pH changes.
- Said in-vitro method of the present invention comprises the steps of
- (i) providing a sample,
- (ii) adding a compound with at least one pH-sensitive chemical shift of the present invention, an imaging medium of the present invention or a biosensor of the present invention to the sample,
- (iii) performing magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS) and thereby determining the pH or pH changes of or in the sample by obtaining a chemical shift difference between at least one pH-sensitive chemical shift of the compound and a pH-independent chemical shift, such pH-independent chemical shift acting as a reference chemical shift, or by measurement of the absolute chemical shift, or by measuring chemical shift differences involving at least one pH-sensitive chemical shift.
- Preferably, the sample is a cell culture sample, such as derived from a human or non-human body, ex vivo tissue, cell culture.
- Preferably, step (iii) is carried out in an MRI scanner machine with MRS or MRSI capabilities or in a NMR spectrometer (such as with a microimaging head).
- Preferably, the pH-independent chemical shift (acting as a reference chemical shift) is from the same compound, i.e. the compound with at least one pH-sensitive chemical shift (endogenous reference chemical shift, as described above), or from another substance (exogenous reference chemical shift, as described above), and is used as a pH-independent reference.
- Alternatively, a chemical shift with a different chemical-shift-pH-correlation can serve as a reference.
- Said in-vivo method of the present invention comprises the steps of
- (i) applying or administering a compound with at least one pH-sensitive chemical shift of the present invention, an imaging medium of the present invention or a biosensor of the present invention to the body of a patient or non-human animal,
- (ii) performing magnetic resonance imaging (MRI) and thereby determining one or several pH values or pH changes of or in the body of said patient or non-human animal by obtaining a chemical shift difference between at least one pH-sensitive chemical shift of the compound and a pH-independent chemical shift, such pH-independent chemical shift acting as a reference chemical shift, or by measurement of the absolute chemical shift, or by measuring chemical shift differences involving at least one pH-sensitive chemical shift.
- Preferably, the in-vivo method is a real-time method.
- In one embodiment, the patient is a human.
- Preferably, the patient can be diagnosed with a disease causing changes in pH or the treatment of a disease causing changes in pH can be monitored.
- Preferably, "a disease causing changes in pH" is selected from cancers, inflammation, ischemia, renal failure and chronic obstructive pulmonary disease.
- Preferably, the pH-independent chemical shift (reference chemical shift) is from the same compound, i.e. the compound with at least one pH-sensitive chemical shift (endogenous reference chemical shift, as described above), or from another substance (exogenous reference chemical shift, as described above), and is used as a pH-independent reference.
- Alternatively, a chemical shift with a different chemical-shift-pH-correlation can serve as a reference.
- Preferably, the in-vitro and/or the in-vivo method comprises the resolution of the spatial pH distribution and, thus, obtaining spatially resolved NMR spectra,
preferably, comprising the use of frequency encoding techniques, such as all methods of chemical shift imaging (CSI) and phase sensitive encodings of chemical shifts (as e.g. used in non-invasive spatially resolved temperature measurements using changes in proton resonance frequencies (0.01 ppm/°C)). See Rieke et al., 2004. - As discussed above, the present invention provides a method of diagnosing and/or monitoring treatment of a disease causing changes in pH.
- Said method comprises the steps of
- (i) applying or administering a compound with at least one pH-sensitive chemical shift of the present invention (an imaging medium of the present invention) or a biosensor of the present invention to the body of a patient or non-human animal,
- (ii) performing magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS) and thereby determining one or several pH values or pH changes of or in the body of said patient or non-human animal by obtaining the chemical shift difference between at least one pH sensitive chemical shift of the compound and a pH-independent chemical shift, such pH-independent chemical shift acting as a reference chemical shift, or by measurement of the absolute chemical shift, or by measuring chemical shift differences involving at least one pH-sensitive chemical shift over time,
- (iii) calculating pH maps based on spatially resolved pH values or pH changes determined in step (ii).
- Preferably, step (iii) comprises
comparing said relative chemical shifts to predetermined calibration curves of the compound with at least one pH-sensitive chemical shift in solutions with known pH. - In one embodiment, the method further comprises
hyperpolarizing the compound with at least one pH-sensitive chemical shift before application or administration to the body of the patient. - Thereby, the compound is hyperpolarized by any hyperpolarization methods, such as dissolution dynamic nuclear polarization (DNP) or parahydrogen induced polarisation (PHIP).
- Preferably, "a disease causing changes in pH" is selected from cancers, inflammation, ischemia, renal failure and chronic obstructive pulmonary disease.
- Thereby, the progress of a disease and/or the treatment of a disease can be monitored.
- Preferably, the method comprises magnetic resonance tomography (MRT).
- Preferably, the imaging is real-time.
- Preferably, the method comprises the resolution of the spatial pH distribution and, thus, obtaining spatially resolved NMR spectra,
preferably, comprising the use of frequency encoding techniques, such as all methods of chemical shift imaging (CSI) and phase sensitive encodings of chemical shifts (as e.g. used in non-invasive spatially resolved temperature measurements using changes in proton resonance frequencies (0.01 ppm/°C)). See Rieke et al., 2004. - As discussed above, the present invention provides the use of a compound of the present invention or a biosensor of the present invention as in quality control of food or in the examination of plants and organisms.
- Local changes of pH in the human body are triggered by many pathologies that overrule natural pH regulatory mechanisms, in particular tumors, inflammation, and ischemia, but also renal failure and chronic obstructive pulmonary disease. The spatially resolved, robust, and non-invasive method for the exact measurement of local pH and its means, described herein, therefore offer improved means for preclinical and clinical applications both for diagnostics and therapeutical purposes, such as monitoring response-to-treatment. Furthermore, applications range from quality control of food to the examination of plants and organisms.
- Here, a novel pH biosensor is presented (that is based on compounds with at least one pH-sensitive chemical shift, such as zymonic acid or its analogs) for magnetic resonance that is very sensitive to pH-changes in a physiologically and/or pathologically relevant pH range. This novel sensor acts independently of its concentration and enzymatic reactions and therefore allows a very accurate pH mapping at high spatial resolution making it a promising probe for the translation to the clinic.
- The invention is based on the fact that the chemical compound zymonic acid exhibits a pH-dependent chemical shift for some of its 13C- and 1H-resonances (marked in
Figure 1 ). Zymonic acid has been discovered and named in the 1950s for the first time and can be produced by yeast bacteria from glucose or can originate from a ring closure of parapyruvate molecules which in turn can originate from pyruvic acid_ENREF_13 (Bloomer et al., 1970 -1; Bloomer et al., 1970 -2; Stodola et al., 1952). Zymonic acid is used as a flavor constituent for confectionary and in the tobacco industry and is therefore most likely not toxic when administered in vivo. - Zymonic acid is an extremely sensitive pH biosensor for magnetic resonance spectroscopy and magnetic resonance tomography and exhibits the following properties, which sets zymonic acid apart from other non-invasive methods to measure pH:
- (a) Zymonic acid exhibits the highest pH-dependent change in chemical shift measured to date with 13C shifts up to 2.35 ppm/pH in the physiologically and/or pathologically relevant range from
pH 5 topH 9 and is thus suitable for a very accurate noninvasive pH determination using magnetic resonance tomography/spectroscopy. - (b) Unlike some other pH measurement methods, the pH determination is robustly performed using a relative or absolute frequency encoding as long as a pH independent reference, e.g. urea or a pH independent chemical shift of zymonic acid itself, is present in the sample. In contrast, the amplitude encoding used in the bicarbonate method is prone to spatial or temporal fluctuations in concentration.
- (c) 13C-labeled zymonic acid (see
chemical shifts Figure 6 ) can be produced from [1-13C]-pyruvate in a one-step synthesis. The two carboxyl groups are exposed to a weak dipolar interaction and thus exhibit a long longitudinal relaxation time T1. Hyperpolarization increases the polarization of the molecule by a factor 50,000 which enables pH imaging in the human body at low contrast agent concentration and at the same time high spatial resolution. - Medical applications for pH imaging with this new pH sensor are extremely numerous since many pathologies cause changes in pH. Good examples are tumors, inflammation and ischemia, but also renal failure and chronic obstructive pulmonary disease. Furthermore, the application as a very precise pH sensor for in vitro NMR-spectroscopy is interesting, e.g. for response-to-treatment monitoring of treatments applied to cell lines.
- The pH-dependent change in chemical shifts of zymonic acid can be used in magnetic resonance tomography to resolve the spatial pH distribution for which established frequency encoding techniques can be used. This includes all spectrally resolving variations of chemical shift imaging (CSI) as well as phase sensitive encodings of chemical shifts as e.g. used in non-invasive spatially resolved temperature measurements using changes in proton resonance frequencies (0.01 ppm/°C).
- The following examples and drawings illustrate the present invention without, however, limiting the same thereto.
-
-
Figure 1 .- (A) Schematic depiction of zymonic acid.
Shown are zymonic acid's pKa-values assigned to the relevant proton donating groups. Two exemplary 13C resonances, which show a pH-dependent change (or displacement) in chemical shift, are marked in light grey and numbered 1 and 2 according to their increasing 13C-NMR resonance frequency (the pH-dependent proton resonances are marked in darker grey and numbered A and B according to their increasing 1H-NMR resonance frequency). It should be noted that the two 13C resonances shown here are examples of pH-sensitive chemical shifts; however, also the other carbon atoms in zymonic acid, if 13C-labelled, will show such pH-sensitive chemical shifts. - (B) Schematic depiction of pKa value
Figure 1B ) shows the protonated and unprotonated forms of compounds such as zymonic acid. Shown on the left is the protonated form, and on the right the deprotonated form.
- (A) Schematic depiction of zymonic acid.
-
Figure 2 .- (A) pH dependent 13C chemical shifts from
peaks - (B) pH dependent 13C chemical shifts from
peaks Peak 1 of zymonic acid shows a pH dependent change in chemical shift of approx. 2.1 ppm/pH, andpeak 2 of approx. 1.1ppm/pH. The error bars are calculated from the pH values of the sample determined with a standard pH electrode before and after the NMR-measurement. The spectrum was referenced to 13C-urea at 0 ppm.
- (A) pH dependent 13C chemical shifts from
-
Figure 3 . Proton chemical shifts of theproton peaks
(A) and (B): The additional peak C is produced during the synthesis of zymonic acid from pyruvate and can be assigned to a different, additional substance in the sample. The pH dependent change in chemical shift of peak B of zymonic acid is approx. -0.3 ppm/pH and peak A approx. -0.04 ppm/pH. Again, the error bars are calculated from the pH values of the sample determined with a standard pH electrode before and after the NMR-measurement. The spectrum was referenced to the proton peak of 13C-urea at 0 ppm. -
Figure 4 .
Injection of hyperpolarized [1-13C]-pyruvate in 40x106 MCF-7 tumor cells in two series of measurements (A, B), in which the tumor cells were killed by addition of Triton-X100, which led to a gradually increasing acidification of the medium. The pH value was determined with a standard pH electrode after the NMR-measurement. The 13C spectra were referenced to the [1-13C]-pyruvate peak at 6.5 ppm. (C) Two peaks, which can be assigned to the hyperpolarized zymonic acid, show a strong pH dependent linear change in chemical shift with up to 2.35 ppm/pH. -
Figure 5 . l3C spectrum and 1H spectrum of zymonic acid produced from [1-13C]-pyruvic acid.
An exemplary 13C spectrum (left column) and 1H spectrum (right column) of zymonic acid produced from [1-13C]-pyruvic acid. Therelevant peaks 1 to 5, which shift in dependency of the pH value of the sample, are marked. The proton spectra show a buffered solution of zymonic acid in water and D2O, once measured right after preparation of the solution (top right) and 24h later (bottom right). -
Figure 6 . Confirmation of the structure of zymonic acid using mass spectrometry.- (A) The HR-MS-spectrum of the synthesized substance recorded with a Thermo Finnigan LTQ-FT confirms the total mass of the compound.
- (B) The MS/MS-spectrum of the synthesized substance recorded after CID-fragmentation on a Thermo Finigan LCQ-Fleet and the assignment of the observed fragments confirms the assumed structure.
- All experiments with zymonic acid described herein were conducted in the Department of Chemistry at Technische Universität München on a Bruker® 14.1 T NMR spectrometer with an AVANCE III console.
- pH values were measured with a standard pH electrode.
- Zymonic acid was produced from pyruvic acid as described in the literature_ENREF_18 (De Jong, 1901). To this end, concentrated hydrochloric acid was added to pyruvic acid in a 1:1 volume ratio. The reaction mixture was then allowed to stand over concentrated sulfuric acid in an desiccator for two weeks at room temperature. Volatile compounds were removed in vacuo whereupon the yellow oil obtained showed crystallization. The yellow and strongly hygroscopic solid was then used without further purification.
- The formula of zymonic acid is shown in
Figure 1 (showing its pKa-values (Montgomery et al., 1954) assigned to the relevant proton donating groups and the pH-dependent 13C resonances and pH-dependent proton resonances). - For the measurement of pH, calibration curves in 200 - 500 mM aqueous solutions of the reaction product were used in sodium phosphate buffer (1M). The pH was then adjusted by cautious addition of sodium hydroxide solution (10 M) or concentrated hydrochloric acid. 5-15% (v/v) D2O and 13C-urea were added for referencing. The pH-dependent chemical shift of the relevant NMR peaks of zymonic acid is depicted in
Figure 2 . We did not observe hysteresis effects in the pH-dependent shift. In particular,Figure 2 shows the pH dependent 13C chemical shifts frompeaks Peak 1 of zymonic acid shows a pH dependent change in chemical shift of approx. 2.1 ppm/pH,peak 2 of approx. 1.1ppm/pH and peak 3 of approx. 1.0 ppm/pH. - The assignment of the NMR-peaks of zymonic acid was done using NMR prediction software (ChemDraw®) and standard 1D- and 2D-NMR-spectroscopy (see
Figure 5 ). In particular,Figure 5 shows an exemplary 13C spectrum (left column ofFigure 5 ) and1 H spectrum (right column ofFigure 5 ) of zymonic acid produced from [1-13C]-pyruvic acid. Therelevant peaks 1 to 5, which shift in dependency of the pH value of the sample, are marked. Since zymonic acid slowly decomposed into parapyruvate within a period of 24 hours_ENREF_19 (Montgomery et al., 1956), its peaks can be assigned from subtraction of one spectrum from the other in combination with standard NMR prediction software (ChemDraw®). The proton spectra show a buffered solution of zymonic acid in water and D2O, once measured right after preparation of the solution (top right ofFigure 5 ) and 24h later (bottom right ofFigure 5 ). - Mass spectrometry confirmed the chemical formula of zymonic acid (see
Figure 6 ). Thereby,Figure 6A shows the HR-MS-spectrum of the synthesized substance which confirms the total mass of the compound.Figure 6B shows the MS/MS-spectrum of the synthesized substance recorded after CID-fragmentation, wherein the assignment of the observed fragments confirms the assumed structure. Within the accuracy of the ion trap (±0.3 m/z), all peaks can be explained by elimination of carbon monoxide and carbon dioxide. - The pH
dependent peaks Figure 4 ). - Zymonic acid is formed from parapyruvate by a ring closure. In this process, the originally 13C-labeled carboxyl groups create a 13C-labeling of zymonic acid in
positions 1 and 2 (seeFigure 1 ). The pH dependent chemical shift ofpeak 1 of zymonic acid was determined to be approx. 2.35 ppm/pH in this measurement and approx. 1.17 ppm/pH forpeak 2, which is in good agreement with the results from the thermally polarized and unlabeled zymonic acid (cf.Figure 2 , i.e. 2.11 ppm/H and 1.11 ppm/pH, respectively). - The tumor cells were treated with Triton X-100 so that they gradually become necrotic with time and that pH decreases successively, similar to the case of a necrotic tumor. As an exemplary application, this pH change in tumor cells can be detected using our pH biosensor. The pH of the tumor cell suspension was determined immediately after the NMR-measurement using a pH electrode as a reference (see
Figure 4 A,B ). As is demonstrated inFigure 4C , two peaks, which can be assigned to the hyperpolarized zymonic acid, show a strong pH dependent linear change in chemical shift with up to 2.35 ppm/pH. - The features disclosed in the foregoing description, in the claims and/or in the accompanying drawings may, both separately and in any combination thereof, be material for realizing the invention in diverse forms thereof.
-
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Claims (16)
- Use of a compound with at least one pH-sensitive chemical shift for determining pH and/or measuring pH changes,
wherein the compound is selected from pyruvic acid and its metabolites, compounds produced from pyruvic acid after interaction with acid, and compounds comprising at least one enolic group whose pKa value is lowered through effects of at least one neighboring group into a physiological and/or pathological pH-range. - The use of claim 1, wherein the compound is 13C-labeled and preferably exhibits at least one pH-sensitive 13C chemical shift,
and/or wherein the at least one pH-sensitive chemical shift is pH-sensitive in a physiological and/or pathological pH range, preferably from about pH 5 to about pH 9,
and/or wherein the compound furthermore exhibits at least one chemical shift that is not pH-sensitive, preferably at least one pH-insensitive 13C chemical shift. - The use of claim 1 or 2, wherein the compound is selected from zymonic acid,
diethyl oxaloacetic acid,
pyruvic acid and its metabolites,
analogs of zymonic acid,
such as esters, ethers, amides, fluorinated analogs, deuterated analogs,
a compound that is produced from pyruvic acid after interaction with acid,
and their hydrates, salts, solutions, stereoisomers. - The use of any one of claims 1 to 3, wherein the compound is hyperpolarized, preferably by dynamic nuclear polarization (DNP),
and/or wherein the compound has a pKa value in a physiological and/or pH range, preferably from about 5 to about 9, and/or the carbon(s) belonging to the pH-sensitive chemical shift(s) of the compound exhibit(s) a long longitudinal relaxation time T1. - A biosensor for determining pH and/or measuring pH changes,
comprising
at least one compound with at least one pH-sensitive chemical shift as defined in any one of claims 1 to 4,
optionally, a reference compound,
optionally, one or several pharmaceutically acceptable carriers and/or excipients,
wherein, preferably, the reference compound is a compound which does not exhibit pH-sensitive chemical shift(s) in an NMR spectrum, preferably the reference compound is 13C-labeled and preferably exhibits at least one pH-insensitive 13C chemical shift. - The compound of any of claims 1 to 4 or the biosensor of claim 5 for use in in-vivo magnetic resonance imaging (MRI), magnetic resonance spectroscopy (MRS) or magnetic resonance tomography (MRT).
- The compound of any of claims 1 to 4 or the biosensor of claim 5 for use in diagnosing and/or monitoring treatment of a disease causing changes in pH,
wherein a disease causing changes in pH is preferably selected from cancers, inflammation, ischemia, renal failure and chronic obstructive pulmonary disease - The compound or biosensor of claim 7, wherein the imaging is real-time,
preferably comprising the resolution of the spatial pH distribution,
more preferably comprising the use of frequency encoding techniques, such as chemical shift imaging (CSI) and phase sensitive encodings of chemical shifts. - Use of the compound of any of claims 1 to 4 as pH sensor for in-vitro NMR-spectroscopy,
preferably comprising response-to-treatment monitoring of treatments applied to cell lines. - An in-vitro method for determining pH and/or measuring pH changes,
comprising the steps of(i) providing a sample,(ii) adding a compound with at least one pH-sensitive chemical shift of any of claims 1 to 4 or a biosensor of claim 5 to the sample,(iii) performing magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS) and thereby determining the pH or pH changes of or in the sample by obtaining a chemical shift difference between at least one pH-sensitive chemical shift of the compound and a pH-independent chemical shift, such pH-independent chemical shift acting as a reference chemical shift, or by measurement of the absolute chemical shift, or by measuring chemical shift differences involving at least one pH-sensitive shift.wherein the sample is preferably a cell culture sample (such as derived from a human or non-human body, ex vivo tissue, cell culture),
and/or wherein step (iii) is preferably carried out in an MRI scanner machine with MRS or MRSI capabilities or in a NMR spectrometer. - An in vivo method for determining pH and/or measuring pH changes, preferably in real-time,
comprising the steps of(i) applying or administering a compound with at least one pH-sensitive chemical shift of any of claims 1 to 8, a biosensor of any of claims 5-8 to the body of a patient or non-human animal,(ii) performing magnetic resonance imaging (MRI) and thereby determining one or several pH values or pH changes of or in the body of said patient or non-human animal by obtaining a chemical shift difference between at least one pH-sensitive chemical shift of the compound and a pH-independent chemical shift, such pH-independent chemical shift acting as a reference chemical shift, or by measurement of the absolute chemical shift, or by measuring chemical shift differences involving at least one pH-sensitive chemical shift.wherein the patient can preferably be diagnosed with a disease causing changes in pH or the treatment of a disease causing changes in pH can be monitored,
wherein a disease causing changes in pH is preferably selected from cancers, inflammation, ischemia, renal failure and chronic obstructive pulmonary disease. - The method of claim 10 or 11, wherein the pH-independent chemical shift (reference chemical shift) is from the same compound, i.e. the compound with at least one pH-sensitive chemical shift, or from another substance, and is used as a pH-independent reference.
- A method of diagnosing and/or monitoring treatment of a disease causing changes in pH,
comprising the steps of(i) applying or administering a compound with at least one pH-sensitive chemical shift of any of claims 1-8 or a biosensor of any of claims 5-8 to the body of a patient or non-human animal,(ii) performing magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS) and thereby determining and or several pH values or pH changes of or in the body of said patient or non-human animal by obtaining the chemical shift difference between at least one pH sensitive chemical shift of the compound and a pH-independent chemical, such pH-independent chemical shift acting as a reference chemical shift, or by measurement of the absolute chemical shift, or by measuring chemical shift difference involving at least one pH-sensitive chemical shift over time,(iii) calculating pH maps based on spatially resolved pH values or pH changes determined in the step (ii).wherein a disease causing changes in pH is preferably selected from cancers, inflammation, ischemia, renal failure and chronic obstructive pulmonary disease,
wherein step (iii) preferably comprises
comparing said relative chemical shifts to predetermined calibration curves of the compound with at least one pH-sensitive chemical shift in solutions with known pH,
and/or said method furthermore comprises
hyperpolarizing the compound with at least one pH-sensitive chemical shift before application or administration to the body of the patient. - The method of claim 13, comprising magnetic resonance spectroscopy (MRS) or magnetic resonance tomography (MRT),
and/or wherein the imaging is real-time. - The method of any one of claims 10 to 14, comprising the resolution of a spatial pH distribution,
preferably comprising the use of frequency encoding techniques, such as comprising chemical shift imaging (CSI) and phase sensitive encodings of chemical shifts. - Use of the compound of any of claims 1 to 4 or the biosensor of claim 5 in quality control of food or in the examination of plants and organisms.
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EP20130188679 EP2863229A1 (en) | 2013-10-15 | 2013-10-15 | pH-biosensors based on compounds with pH-sensitive enolic groups for magnetic resonance imaging and spectroscopy and their uses |
DK14792413.8T DK3058375T3 (en) | 2013-10-15 | 2014-10-15 | pH Biosensors based on compounds made of pyruvic acid for magnetic resonance imaging and spectroscopy and their applications |
PCT/EP2014/072137 WO2015055727A1 (en) | 2013-10-15 | 2014-10-15 | Ph-biosensors based on compounds produced from pyruvic acid for magnetic resonance imaging and spectroscopy and their uses |
EP14792413.8A EP3058375B1 (en) | 2013-10-15 | 2014-10-15 | Ph-biosensors based on compounds produced from pyruvic acid for magnetic resonance imaging and spectroscopy and their uses |
US15/028,219 US20160252532A1 (en) | 2013-10-15 | 2014-10-15 | pH-Biosensors Based on Compounds Produced From Pyruvic Acid For Magnetic Resonance Imaging and Spectroscopy and Their Uses |
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